Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10250 | Date 29/11/2025 |
| Token No | SM/25-26/11245 29/11/2025 | Serial | 085 |
| Patient Name | Mrs. SUDAMAYEE RABIDAS | Contact No | 9007758885 |
| Address | 65/A/11 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||